Jones, Judy Lee
Jones, Judy Lee is an sole proprietor health care provider with primary practice located at 2001 S Woodruff Suite 19, Idaho Falls ID 83404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jones, Judy Lee can be contacted via phone (208) 529-2603.Contact Information
Primary practice address
2001 S Woodruff Suite 19
Idaho Falls ID 83404
Phone: (208) 529-2603
Fax: (208) 529-0451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M4671 | Idaho |
Profile Details
| NPI number | 1295707099 |
|---|---|
| LBN Legal business name | Jones, Judy Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Feb 18th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295707099 | NPPES |
| Idaho | Other | 000010005844 | REGENCE BLUE SHIELD |
| Idaho | Other | 46714 | REGENCE BLUE SHIELD |
| Idaho | MEDICAID | 000384000 | REGENCE BLUE SHIELD |
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